The relearning assignment is designed to support continued learning, developing critical thinking, and promoting clinical judgment skills throughout the pre-licensure BSN students’ education. The assignment will be completed based on student’s individual performance identified in the Strengths and Opportunities report following the course specific Clinical Judgment Exam (CJE). CJSim™(s), Adaptive Quizzing (EAQ), and Clinical Judgment Plan of Care Template(s) are completed based on the concept areas of greatest opportunity identified on students’ individual Strengths & Opportunities report. Students will add this assignment to the ePortfolio throughout the program.

Program outcomes:This assignment enables the student to meet the following outcomes:

1. Provides individualized comprehensive care based on theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities, from entry to the healthcare system through long-term planning.
2. Demonstrates leadership and collaboration with consumers and other healthcare providers in providing care and/or delegating responsibilities for health promotion, illness prevention, health restoration, health maintenance, and rehabilitative activities.
3. Integrates clinical judgment in professional decision making and implementation of the nursing process.
4. Incorporates evidence-based practice in the provision of professional nursing care to individuals, families, aggregates and communities.

Duedate:Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 130pointsPreparing the assignment:

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

1. Prior to beginning this assignment, review the Clinical Judgement Exam (CJE) Strengths & Opportunities report and identify the concepts of greatest opportunity (for example Perfusion, Glucose Regulation, and Nutrition).
2. Students will use the CJSim™ Unit Census document (found in the NurseThink portal) to identify appropriate clients to care for based on the CJE Strengths & Opportunities report.
3. Students will care for the CJSim™ client as if they are caring for a living, breathing client. This includes a thorough review of the electronic health record (EHR).
4. Students may retake CJSim™ cases until grade and time requirements have been met.
5. Students will identify which CJSim™(s) they completed in the relearning agreement. Include the student name, concept, CJSim™ case title, date/time of completion, grade received on the CJSim™, and total time spent in the CJSim™.
6. Students will complete the minimal number of CJSim™(s) required by the individual score level achieved on the CJE.
   1. Exceeds standard= 1 CJSim™
   2. Meets standard= 2 CJSim™
   3. Approaching standard= 3 CJSim™
   4. Does not meet standard= 4 CJSim™
7. Students will complete the minimal number of Clinical Judgment Plan of Care Template(s) required by the individual score level achieved on the CJE.
   1. Exceeds standard= 1 Clinical Judgment Plan of Care Template
   2. Meets standard= 2 Clinical Judgment Plan of Care Templates
   3. Approaching standard= 3 Clinical Judgment Plan of Care Templates
   4. Does not meet standard= 4 Clinical Judgment Plan of Care Templates
8. When completing the Clinical Judgment Exam (CJE) Medical Surgical II Relearning Assignment:
   1. Students will complete the minimal number of Adaptive Quizzing required by the individual score level achieved on each of the Clinical Judgment Exams (CJE): Medical Surgical II. Students must achieve a mastery level of intermediate in each quiz. Please see the Adaptive Quizzing Help Guide for the Adaptive Quizzing platform.
      • Exceeds standard= 1 Mastery Adaptive Quiz
      • Meets standard= 1 Mastery Adaptive Quiz
      • Approaching standard= 2 Mastery Adaptive Quizzes
      • Does not meet standard= 2 Mastery Adaptive Quizzes
9. When completing the Clinical Judgment Exam (CJE) Pharmacology Relearning Assignment:
   1. Students will complete one Mastery Quiz selecting the RN Content Area as the topic, then choosing Pharmacology/Medical-Surgical Drugs. Students must achieve a mastery level of intermediate for this quiz. Please see the Adaptive Quizzing Help Guide for the Adaptive Quizzing platform.
10. Students will submit screenshot(s) of the mastery quiz completion showing required mastery level in the Canvas assignment submission area. The following must be captured in the screenshot: student name (if available), concept focus, date/time of completion, and mastery level achieved. See example below. The screenshot will appear immediately after mastery level is achieved and will not be available after exit.

1. Students must complete all of the sections in the Clinical Judgment Plan of Care Template
   1. Nursing and HCP Collaborative Plan of Care
   2. Start of Shift Priorities
   3. Vital Signs and Pertinent Lab Trends
   4. End of Shift Priorities
   5. Consider Questions
   6. Reflection Exercise
2. Completing more than the required number of CJSim™(s), Clinical Judgment Plan of Care Template(s) and Adaptive Quizzes to reinforce learning of content is recommended.
3. It is strongly recommended that the content added in the Plan of Care Template is handwritten by the learner. Handwriting the response promotes deeper comprehension. The responses are to be in the learner’s own words.
4. Students may be required to complete specific or additional CJSim™ cases or Clinical Judgment Plan of Care Template(s) or Adaptive Quizzes as deemed necessary by faculty.
5. Once this assignment is complete, link it to the Practice Ready ePortfolio course specific Clinical Judgment Exam (CJE) Relearning Assignment page. See the Practice Ready ePortfolio Assignment Guidelines for instructions for linking assignments.
6. Detailed criteria are listed in the Grading Rubric.
7. An unsatisfactory level of performance for ePortfolio or relearning agreement will result in a zero for the assignment.

Grading Rubric

Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

RequiredCriteria(Points possible/% of total points available)	SatisfactoryLevel ofPerformance	Unsatisfactory Level ofPerformance
CJSim™(s)(50 points/38%)	50 points	0 points
Required criteriaCompletes the number of CJSim™(s) required for the CJE- individual score level.Selects and completes the CJSim™(s) based on the top concept area(s) of opportunity.Completes a minimum of 15 minutes per CJSim™.Achieves an 85% or better grade on the CJSim™(s).Includes a screenshot for each completed CJSim™(s) in the relearning agreement.	All required criteria met	Less than 5 criteria met
Clinical Judgment Plan of Care Template(40 points/31%)	40 points	0 points
Required criteriaCompletes the correct number of Clinical Judgment Plan of Care Template(s) that align with the selected CJSim™(s) required for the CJE individual score level.All sections within the Clinical Judgment Plan of Care Template are complete.Content presented in the Clinical Judgment Plan of Care Template is directly relevant to areas of noted weakness.Appropriate medical terminology is used in the Clinical Judgment Plan of Care Template.	All required criteria met	Less than 4 criteria met
Adaptive Quizzing(40 points/31%)	40 points	0 points
Required criteriaUses the area(s) of greatest opportunity from the course exams Strength & Opportunity report to select a topic to complete the required mastery quiz.Completes the correct type of mastery quiz. See specific course requirements in Preparing the Assignment.Completes the required number of mastery quizzes based on the individual score achieved on the Clinical Judgment Exam (CJE) Pharmacology and Medical-Surgical II or as outlined in the course requirements in Preparing the Assignment.Submits screenshot(s) of the mastery quiz completion in the relearning agreement.	All required criteria met	Less than 4 criteria met

ePortfolio(S/U)	Satisfactory	Unsatisfactory
Required criteriaLinks the CJE Relearning Assignment in the Clinical Judgment Exam Relearning Assignment section of the Practice Ready ePortfolio.	All required criteria met	Did not meet criteria
RelearningAgreement(S/U)	Satisfactory	Unsatisfactory
Required criteriaCompletes and sign the relearning agreement.	All required criteria met	Did not meet criteria
Total Points Possible = 130 points